General Inspection Flashcards
Build, physique, and general shape of the human body.
body habitus
Metabolic syndrome if have three or more of these 5 traits (or medicating to control them)
- Large waist circumference (35+ for W and 40 + for M)
- High triglyceride level (> 150)
- Reduced HDL cholesterol (<40 in M, <50 in W)
- Increased blood pressure (> 130/85)
- Elevated fasting blood sugar (>100)
Flat, less than 1cm =
Macule
Flat, greater than 1 cm as seen in freckles or measles
Patch
Solid raised lesion Less than 1 cm
Papule
solid, larger than 1 cm such as lichen planus, warts, or scabies
plaque
1-2cm solid lesion with distinct edges
nodule
nodule greater 2cm such as a lipoma
tumor
Raised lesions less than 1 cm and filled with clear fluid.
vesicle
Herpes Zoster and Chickenpox are examples of
vesicles
Circumscribed fluid-filled lesions that is greater than 1 cm
Bullae
blister is an example of a
Bullae
Circumscribed elevated lesions with pus such as acne
Pustule
Edema like in Insect bite or Allergic reactions
Wheal
Permanent dilatation of superficial blood vessels in skin like seen in CREST syndrome
Telangiectasia
Flakes or plates of desquamated layers of stratum corneum like seborrheic dermatitis
Scales
Drying of plasma/exudate on skin like a Scab or Abrasion eczema
Crust
Open areas of skin where all of the epidermis has been lost.
Erosions
Varecella after rupture is an example of what?
Erosion
Thickening of epidermis: seen with exaggeration of normal skin lines due to chronic rubbing or scratching
Lichenification
Chronic Dermatitis can result in
Lichenification
Traumatized skin which extends into epidermis such as Abrasions or Scratches
Excoriations
Linear cleavage of skin which extends into the dermis such as Athlete’s foot and Cracks in corners of mouth
Fissures
Permanent fibrotic changes following damage to the dermis.
SCARS
Exaggerated connective tissue response of injured skin that extend beyond the edges of the original wound
KELOID
Dark spots over buccal mucosa, skin folds, stretch marks seen in
Addison’s Disease
Purple Striae seen in
Cushing’s Disease
A sex hormone precursor that takes over Estrogen production after menopause
DHEA
Dehydroepianadrosterone
Used for Proteins & Fat metabolism enhancement of the Immune system and insulin sensitivity
DHEA
Dehydroepianadrosterone
“ANTI - AGING HORMONE”
DHEA
Dehydroepianadrosterone
Initial response to stress.
Arousal (‘Fight or fight’)
Rapid: ↑ catecholamines
Slower: ↑ corticosteroids
Continued release of corticosteroids which allows system to continue it’s adaptation to stress long after initial alarm is turned off.
Adaptation (Resistance)
Adaptation (Resistance) results in
altered glucose tolerance, increased blood pressure, thyroid hormone & sex hormone metabolism altered
‘Burned out adrenals’
Exhaustion
‘Stress’ hormones (cortisol) produced at expense of sex hormones (testosterone, estrogen) may result in
adrenal exhaustion
Loss of pigmentation resulting in irregular white patches
Vitiligo
Destruction of melanocytes in 1-2% of pop usually between 10 - 30 years. usually before 40
Vitiligo
Café-au-lait spots are seen in what two conditions?
McCune -Albright
Syndrome and Neurofibromatosis
Fibrous Dysplasia, Skin spots with “Coast of Maine” Irregular borders and Precocious puberty
McCune -Albright
Syndrome
Derm lesions with “Coast of California” regular borders and Systemic Nodules
Neurofibromatosis
VonReckinghausens Disease
Rhythmic oscillations
Fine 6+/second
Tremors
Usually in hands, head and voice (Increases with intention)
Essential Involuntary Movements
Repetitive, brief, jerky, large-scale, dancelike, uncontrolled movements.
Choreiform
Slow, writhing, snake like motions
Athetosis
Spoon Shaped concave nails seen in Plummer-Vinson Syndrome, IDA, and Hemochromatosis
Koilonychia
Convexity Nails seen in Lung CA, Hypertrophic Pulmonary
osetoearthropathy, Cardiac Failure and Hepatic Cirrhosis
Clubbing
Clubbing creates ________ sign
Scharmroth’s
Lindsay’s (Half & Half) nails are specific for
Renal failure
Transverse white band parallel to lunula
Mee’s lines
Mee’s lines result from
Arsenic intoxication
White banding with lunula covered by white band up 1-2mm of distal border
Terry Nails
Transverse depression across nail plate (can be from severe zinc def)
Beau’s lines
Separation of distal nail from psoriasis, trauma or thyroid disorders
Oncholysis
Pitting commonly from
Psoriasis
Infection of cuticle often after trauma
Paronychia
done to avoid, minimize pain in the back, hip, or lower limb
Antalgic
Broad Base stance, Watches the ground and Slaps feet down
Ataxic Sensory: (Tabetic)
Leg extended with foot movement from pelvic tilting and Arm adducted
Hemiplegic: (Circumduction
parkinson gait
propulsion (festination)
throws foot forward from hip, & slaps it down.
Steppage
Poliomyelitis gait
Steppage
Cerebellar Ataxia from Multiple Sclerosis and alcoholic intoxication
Staggering (Reeling)
Multiple Sclerosis gait
scissors (spastic)
Weak pelvic muscles causes
Waddling